经鼻内镜鼻前庭囊肿去顶+低温等离子囊壁消隔术治疗鼻前庭囊肿42例临床观察

doi:10.6040/j.issn.1673-3770.0.2018.020

摘要/Abstract

摘要： 目的研究经鼻内镜鼻前庭囊肿去顶+低温等离子囊壁消隔术治疗鼻前庭囊肿的临床效果。方法选择84例鼻前庭囊肿患者,按随机数字表法分为A组与B组,各42例。A组采取内镜监视下低温等离子术,B组采取传统齿龈沟径路行囊肿切除。比较两组手术时间,术中出血量,伤口愈合时间,术后12、24、48 h时的疼痛VAS评分,术后1个月内并发症总发生率,随访期间并发症与复发情况。结果 A组手术时间、手术出血量与伤口愈合时间分别为(21.02±5.98)min、(13.55±4.01)mL、(3.52±1.02)d,B组分别为(38.96±8.24)min、(51.88±9.30)mL、(5.97±2.16)d,两组比较,差异有统计学意义(P均<0.05)。A组术后12、24、48 h疼痛VAS评分均低于B组(P均<0.05)。A组近期并发症总发生率为4.76%,低于B组的19.05%(P<0.05)。两组术后随访期间并发症总发生率分别为2.38%和7.14%,复发率分别为0和4.76%,两组比较,差异无统计学意义(P均>0.05)。结论经鼻内镜鼻前庭囊肿去顶+低温等离子囊壁消隔术具有鼻内镜及低温等离子的双重优势,操作简单、术后疼痛轻、并发症少,效果优于经齿龈沟径路囊肿切除。

关键词: 内镜, 鼻前庭囊肿, 低温等离子术, 经齿龈沟径路囊肿切除

Abstract: Objective To study the clinical efficacy of nasal endoscopic vestibule cyst removal with hypothermic plasma for treatment of nasal vestibular cysts while excluding the septal wall. Methods A total of 84 patients with nasal vestibular cysts were selected and randomly divided into group A and group B according to the random number table method, resulting in two groups with 42 patients each. The patients in group A were subjected to low-temperature-controlled plasma radio frequency ablation by nasal endoscopy. The patients in group B underwent traditional gingival sulcus cyst removal. We compared surgery duration, intraoperative bleeding, wound healing time, the VAS scores of pain at 12 h, 24 h, and 48 h after surgery; the total incidence of complications within one month after surgery; and the complications and recurrence during follow-up between the two groups. Results Surgery duration, intraoperative bleeding, and wound healing time in group A were 21.02±5.98 min, 13.55±4.01 mL, and 3.52±1.02 days, respectively. All values were significantly lower than in group B(surgery duration: 38.96±8.24 min; intraoperative bleeding: 51.88±9.30 mL; and wound healing time: 5.97±2.16 days; P<0.05). Additionally, the VAS scores of pain in group A at 12 h, 24 h, and 48 h after operation were significantly lower than those in group B(P<0.05). The recent complication rate in group A patients was 4.76%, which was significantly lower than the 19.05% complication rate in group B patients(P<0.05). The overall incidence of complications during follow-up was 2.38% and 7.14% in group A and B, respectively. The recurrence rates were 0 and 4.76% in group A and B, respectively. These differences were not significant. Conclusion Low-temperature-controlled plasma radio frequency ablation via nasal endoscopy combines multiple advantages of endoscopy and cryogenic plasma, i.e. simpler surgery, less postoperative pain, and fewer complications in comparison to cyst removal via the gingival sulcus.

Key words: Nasal vestibular cyst, Low-temperature plasma surgery, Resection of the gingival sulcus cyst, Endoscopy

中图分类号:

R765

田增华. 经鼻内镜鼻前庭囊肿去顶+低温等离子囊壁消隔术治疗鼻前庭囊肿42例临床观察[J]. 山东大学耳鼻喉眼学报, 2018, 32(5): 86-89.

TIAN Zenghua. Clinical study of endoscopic nasal vestibular cyst unroofing and low-temperature plasma for the treatment of nasal vestibular cysts while excluding the septal wall[J]. J Otolaryngol Ophthalmol Shandong Univ, 2018, 32(5): 86-89.

参考文献 16

[1]	周汝环,徐明安,张雁冰,等. 鼻前庭囊肿2种手术方式的疗效比较[J]. 安徽医学,2017,38(7):902-904.
[2]	刘雪冰. 鼻内镜下低温等离子射频消融术治疗鼻前庭囊肿临床分析[J]. 中国耳鼻咽喉头颈外科,2014,21(5):267-268.
[3]	杨欣荣,毛庆杰. 鼻内镜下鼻前庭囊肿剜除术[J]. 中国耳鼻咽喉头颈外科,2013,20(9):480.
[4]	李福军,杨蓓蓓,王海军,等. 鼻前庭囊肿发生机制的探讨[J]. 临床耳鼻咽喉头颈外科杂志,2007,21(2):82-83. LI Fujun, YANG Beibei, WANG Haijun, et al. Nasal vestibular cyst: a report of forty two cases and investigation of its pathogenesis[J]. J Clin Otorhinolaryngol Head Neck Surg, 2007, 21(2):82-83.
[5]	郝凯飞,闫朝晖,陶树东,等. 内镜下经鼻行鼻前庭囊肿完整剥除术的疗效观察[J]. 中华耳鼻咽喉头颈外科杂志,2017,52(5):361-364. HAO Kaifei, YAN Zhaohui, TAO Shudong, et al. Effect of intranasal excision on nasal vestibular cyst under nasal endoscopy[J]. Chin J Otorhinolaryngol Head Neck Surg, 2017, 52(5):361-364.
[6]	王春雨,张芬,张庆泉,等. 鼻内镜下经鼻内进路行腭正中囊肿微创手术21例临床分析[J]. 山东大学耳鼻喉眼学报,2017,31(3):84-86. WANG Chunyu, ZHANG Fen, ZHANG Qingquan, et al. Use of an intranasal endoscopic approach for treatment of palatal midline cyst in 21 cases[J]. J Otolaryngol Ophthalmol Shandong Uni, 2017, 31(3):84-86.
[7]	覃焕桦,林琳,陈子松,等. 鼻内镜下低温等离子射频消融术与囊肿揭盖术治疗鼻前庭囊肿的临床分析[J]. 河北医药,2017,39(8):1231-1233.
[8]	李先辉,陈崇喜. 鼻前庭囊肿揭盖术与传统唇龈沟径路鼻前庭囊肿切除术的比较[J]. 实用医学杂志,2012,28(21):3578-3580.
[9]	刘津,冯云,覃继新,等. 鼻内镜下低温等离子技术在鼻前庭囊肿治疗中的应用[J]. 中国内镜杂志,2017,23(7):6-10. LIU Jin, FENG Yun, QIN Jixin, et al. Low temperature controlled plasma technology by nasal endoscopy in treatment of nasal vestibular cys[J]. Chin J Endoscopy, 2017, 23(7):6-10.
[10]	赵艾君,谢鹏,李志伟,等. 鼻前庭囊肿揭盖术与传统唇龈沟径路鼻前庭囊肿切除术治疗鼻前庭囊肿的疗效对比[J]. 广西医科大学学报,2016,33(5):880-882.
[11]	王涛,杨钦泰,刘贤,等. 经鼻内镜改良鼻前庭囊肿切除的临床研究[J]. 中国耳鼻咽喉头颈外科,2012,19(7):375-377.
[12]	郭斌,张英. 鼻内镜下低温等离子射频消融与传统方式切除鼻前庭囊肿的临床疗效观察[J]. 中国内镜杂志,2017,23(5):53-56. GUO Bin, ZHANG Ying. Comparison between low temperature-controlled plasma radio frequency ablation by nasal endoscopy and traditional way in treatment of nasal vestibular cyst[J]. Chin J Endoscopy, 2017, 23(5):53-56.
[13]	孙焕吉,卢永田,罗兴谷,等. 两种鼻前庭囊肿手术疗效比较[J]. 山东医药,2014,54(32):74-75.
[14]	戚莎菲,刘鹏,李士新,等. 鼻内镜下低温等离子射频消融治疗鼻前庭囊肿[J]. 中国中西医结合耳鼻咽喉科杂志,2014,15(2):102-104. QI Shafei, LIU Peng, LI Shixin, et al. Clinical observation on the therapeutic effect of low temperature plasma radiofrequency ablation operation on nasal vestibular cyst under nasal endoscope[J]. Chin J Otorhinolaryngol Integrat Med, 2014, 15(2):102-104.
[15]	Kim SJ, Byun SW, Lee SS. Various tumors in the nasal vestibule[J]. Int J Clin Exp Pathol, 2013, 6(12):2713-2718.
[16]	钱建娥. 鼻内镜下低温等离子刀射频消融术与唇龈沟径路囊肿切除术治疗鼻前庭囊肿的疗效比较[J]. 中国临床医学,2015,22(4):547-549. QIAN Jiane. Efficacy comparison between low temperature-controlled plasma radiofrequency ablation by nasal endoscopy and cystectomy via labiogingival groove approach in the treatment of nasal vestibular cyst[J]. Chin J Clin Med, 2015, 22(4):547-549.

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